186 



ENDOCRINE GLANDS 



FIG. 15. Adiposo genitalis syndrome. 

 (Service of Dr. Lereboullet). 



1. OBESITY. The fat in- 

 vades the whole body. The 

 face is large and rounded, 

 with a fat neck at its base. 

 In women the breasts are 

 enormous and fall as far 

 down as the abdomen. This 

 hypertrophy consists entirely 

 of fat, for the mammary 

 gland is atrophied and hardly 

 perceptible in the adipose 

 mass. The abdominal walls 

 are relaxed and fall below 

 the pubis and the genital or- 

 gans, as a sort of an apron. 

 The hips and buttocks some- 

 times attain enormous pro- 

 portions. The limbs are 

 transformed in columns 

 ended by pads at the wrists, 

 for these extremities are in- 

 vaded with fat. 



The skin shows a waxy 

 white color; it is hard, dry, 

 cold edematous and not 

 compressible by the fingers. 

 These characteristics resem- 

 ble very much those of 

 myxedema. Palpation re- 

 veals the presence of soft 

 masses in the subcutaneous 

 tissues due to masses of 

 adipose tissue. 



The face and hands are 



